The invention relates to a circuit for heat exchange to/from a liquid, in particular for heat exchange between a device and a liquid or between two liquids. Even more particularly, the invention relates to a disposable circuit for heat exchange to/from a physiological liquid. The invention relates moreover to the thermal device suitable for use together with the disposable circuit.
During therapeutic treatment which requires the infusion of liquids into a patient and/or extracorporeal circulation it is required to monitor constantly the temperature of the fluid which is infused into the patient.
In some cases it is necessary for the liquid to be heated before infusion, in order to avoid the risk of inducing an undesirable state of hypothermia in the patient. In such cases, the temperature of the liquid, which is typically blood or an infusion liquid, must be as close as possible to the physiological body temperature of the patient.
In other cases, such as for example certain surgical operations, a controlled state of hypothermia must be induced in the patient. By artificially lowering the body temperature of the patient it is in fact possible to slow down the metabolic processes of the organism so as to reduce the oxygen intake. In this way, it is possible to suspend circulation of the blood for relatively long periods of time and thereby prevent the lack of blood flow and consequent hypoxia from causing damage to the tissues.
For example, intense hypothermia, achieved by lowering the patient's temperature to about 20° C., allows complete stoppage of the blood circulation for periods of about 30 minutes. In the case, instead, of extracorporeal circulation, usually hypothermia of average intensity (about 28 to 32° C.) is induced to ensure optimum protection of the tissues, in particular the brain tissues.
The hypothermia is induced by externally cooling the patient, but in particular cooling the blood using special heat exchangers able to extract heat from the blood. At the end of the operation it is obviously required to raise the patient's temperature back to the physiological values; heating of the blood is usually performed using the same extracorporeal circuit, but with the heat being transferred to the blood, instead of being extracted from it.
Also, in haemodialysis treatment, heating of the dialysis solution is required essentially in all cases since, with this operation, the extracorporeal blood circulation can be kept at standard temperature values.
Heating the blood is necessary in the event of major transfusions and/or in cases where the transfusion is not programmed and there is not enough time to prepare the bags and heat them to room temperature.
When heating the blood it must also be remembered that an excessively high temperature may be extremely dangerous for the patient. For example, at a temperature of 41° C. the brain tissues start to suffer damage, while a temperature of 45° C. is almost certainly lethal. For this reason very strict monitoring of the circuit for heating the infusion liquids is required.
In any case, both in the case where the physiological liquid to be infused must be heated and in the case where it must be cooled, certain intrinsic difficulties associated with this particular area of application must be resolved. The heat exchange circuits of the known type, although widely used, are not without defects.
The main defect of the known circuits is the general low level of heat exchange efficiency. Heat exchange must be performed in real time along the line used to convey the physiological liquid. Poor efficiency means slowing down of the infusion operation and/or the need to ensure that greater quantities of liquid are present inside the exchanger (priming).
Where there is inefficient heat exchange, it is also required to use a notable temperature gradient in order to speed up the transfer of heat to/from the liquid. This may result, for example in the case where the blood must be heated, in the presence of a means which is able to perform heating to a temperature well above 45° C. and is therefore extremely dangerous. In fact, it may happen that the speed of infusion decreases and, consequently, the blood remains inside the heat exchange circuit for longer than programmed. In such a case, too high a temperature of the heating means could also easily raise the temperature of the blood to a dangerous level. It can therefore be understood how a heat exchange circuit of this type is intrinsically dangerous for heating blood and therefore requires an extremely sophisticated system of sensors.
Another drawback of the circuits of the known type is associated with the cost, in particular in the case where they are circuits of the disposable type.
The object of the present invention is therefore to solve at least partially the drawbacks identified in connection with the heat exchange circuits of the known type.
The aim of the present invention is to provide a heat exchange circuit which has a high efficiency.
Moreover, the aim of the present invention is to provide a heat exchange circuit which has a simple design and low cost.
The abovementioned aims and object are achieved by a heat exchange circuit according to Claim 1.
The characteristic features and further advantages of the invention will emerge from the description provided hereinbelow, of a number of examples of embodiment, provided purely by way of a non-limiting example, with reference to the accompanying drawings in which:
FIG. 4.a shows schematically the pattern in the first wall of a heat exchange circuit according to the invention;
FIG. 4.b shows schematically the pattern of a second wall of a heat exchange circuit according to the invention;
FIG. 4.c shows schematically the superimposed arrangement of the patterns according to FIGS. 4.a and 4.b;
FIG. 29.a shows a portion of a first type of wall of a heat exchange circuit according to the invention;
FIG. 29.b shows a portion of a second type of wall of a heat exchange circuit according to the invention;
FIG. 29.c shows a portion of the third type of wall of a heat exchange circuit according to the invention;
The present invention relates to a heat exchange circuit, indicated in its entirety by 30. The circuit 30 is designed to promote heat exchange to/from a physiological fluid and comprises at least two walls 32 and 34 which rest against each other and are sealed so as to form a duct 36 able to contain a flow of physiological fluid. Each one of the at least two walls 32 and 34 comprises, during use, a pattern of corrugations 320 and 340. The corrugations have, at least along sections, a preferential direction. The pattern of corrugations 320 of one wall 32 is positioned so as to be superimposed at least partially on the pattern of corrugations 340 of the other wall so as to form an angle γ between the respective preferential directions, the angle γ ranging between 70° and 110°. Finally, at least one of the walls 32 or 34 is designed to transfer heat to/from the liquid flow.
Reference will be made below, in relation to the heat exchange circuit 30, to the concepts “inner” and “outer”. “Inner” is understood as referring to the parts of the circuit which, during use, are wetted by the liquid; on the other hand, “outer” refers to the parts of the circuit which, during use, are not wetted by the liquid.
By way of example, the circuit 30 according to the invention, in the embodiment shown in
In the schematic illustration shown in the accompanying figures, the patterns of corrugations, for example 320 and 340, are shown as hatched areas on the surfaces of the wails. The lines of the hatching may be regarded as being a schematic representation of the peaks of the corrugations or, equally well, a schematic representation of the valleys of the corrugations.
From this configuration, with a simple translational movement, the two walls 32 and 34 may be arranged on top of each other so that the two corrugation patterns 320 and 340 coincide. In the example described here the walls are formed so that, machining tolerances excluded, the two corrugation patterns are superimposed perfectly on top of each other.
In the embodiments described here, the amplitude of α and β is substantially equal to 45°. This value represents an excellent compromise between conflicting design requirements: on the one hand it is opportune to limit the head losses in the circuit 30, while on the other hand it is required to ensure a high degree of mixing inside the fluid. The first requirement would lead to a reduction in the amplitude of the angles α and β to about 30°, while the second requirement would increase it to about 60°. In practice, specific tests carried out by the Applicant have shown how angles α and β with an amplitude of between 35° and 55° ensure limited head losses and optimum mixing.
Obviously, as the person skilled in the art may easily understand from the above description, the angle γ formed between the two preferential directions of the two corrugation patterns is defined by the sum of the amplitudes α and β. In the specific case, therefore, the angle γ has an amplitude equal to about 90°, while in other embodiments of the invention it may vary between 70° and 110°.
According to the embodiments shown in
In the specific embodiment in
With the lid open as shown in
The intimate contact between the two corrugation patterns is illustrated in the schematic cross-section shown in
The intimate contact between the corrugation patterns ensures that the walls 32 and 34 rest fully on the thermally active plates 52 and 54, so as to prevent the presence of air between the walls and the plates. Air is in fact not a good heat conductor and its presence between the walls and the plates would adversely affect the heat exchange efficiency.
In
At least one of the plates 52 and 54 is defined here as being thermally active. It is in fact able to assume a temperature different from the external temperature of the walls of the circuit 30. More specifically, according to certain embodiments, the thermally active plate 52 or 54 may assume higher temperatures so as to release heat to the walls of the circuit 30. According to other embodiments, the thermally active plate 52 or 54 may assume lower temperatures so as to absorb heat from the walls of the circuit 30. According to further other embodiments, the thermally active plate 52 or 54 may assume higher or alternatively lower temperatures so as to release or alternatively absorb heat to/from the walls of the circuit 30. The temperature of the thermally active plate 52 or 54 can be preferably regulated via suitable regulating means 53.
According to some embodiments, only one of the two plates 52 and 54 is thermally active, while in other embodiments both of them are active.
The plates 52 and/or 54, depending on the different embodiments of the thermal device 50, may comprise different means for rendering them thermally active. These means may consist of electric resistors which are designed to raise the temperature, or Peltier cells, which are able both to raise the temperature and, by reversing the polarity of the power supply, to lower it.
The walls 32 and 34, according to the embodiment described hitherto, may be made of polymer material or metallic material. These materials must be suitable for retaining the form imparted to them during production, especially as regards the corrugations. A stable form of the corrugations in fact ensures intimate contact between the walls of the circuit 30 and the plates of the thermal device 50. If, however, the corrugations should be deformed, this intimate contact would be affected, air would enter between the walls, and the plates and the heat exchange efficiency would be drastically reduced.
In the case where polymer material is used, the walls must have a particularly small thickness in order to compensate for the fairly low thermal conductivity which is typical of the polymers. Obviously, from among the polymers suitable for contact with physiological liquids, all other conditions being equal, it is preferable to choose a polymer with a relatively high thermal conductivity. According to certain embodiments, the thermal conductivity of the polymer may be increased by means of the addition of suitable fillers dispersed in the polymer itself. These fillers may be, for example, in a manner known per, metal and/or ceramic particles. In the case where a metallic material is used for the walls 32 and 34, this may be chosen, for example, from aluminium, titanium and stainless steel. Moreover, the walls made of metallic material could if necessary comprise a thin polymer lining should it be required to improve the biocompatibility thereof or other desirable characteristics such as the resistance to corrosion and/or to aggressive chemical agents.
With particular reference to FIG. 28.a, the thickness s of the polymer walls advantageously ranges between 30 and 300 μm, while the thickness of the metal walls advantageously ranges between 100 and 200 μm. The thickness of the corrugations (or wave amplitude λ) advantageously ranges between 500 and 3000 μm.
The heat exchange circuit 30 shown in
For this purpose, the suction conduits 58 are preferably arranged in arrays on the bottom of the valleys of the corrugations of the plates 52 and 54. This arrangement of the suction conduits 58 is shown in
According to other embodiments of the thermal device 50, the plates 52 and 54 are made of porous material which is obtained for example by means of sintering of metal powders of suitable particle size. The porous plates 52 and 54 allow widespread suction of the air trapped between the walls 32 and 34 and therefore without the presence of the suction conduits 58.
According to this embodiment of the heat exchange circuit, the walls 32 and 34 must necessarily be deformable so as to be able to reproduce accurately, during use, the corrugation patterns of the suction plates 52 and 54.
In the case where the circuit 30 is made of polymer material, deformation of the walls 32 and 34 may to a large extent consist of an elastic deformation. Therefore, when the vacuum is no longer applied, the corrugations become almost entirely flat. In the case where the circuit 30 is instead made of metallic material or a different polymer material, deformation of the walls 32 and 34 to a large extent consists of a plastic deformation. Therefore, even when the vacuum is no longer applied, the corrugations remain substantially unaffected.
The embodiment according to
According to this embodiment of the heat exchange circuit 30, the walls 32 and 34 may be made of materials different from each other.
It is perfectly possible, in other embodiments, for the abovementioned U-shaped circuits to be formed with smooth walls, such as those described in relation to the circuit 30 of
Obviously, in the case where the U-shaped heat exchange circuits 30 are of the smooth-wall or mixed-wall type, the respective thermal devices 50 must also comprise the vacuum application means 56 such as those described above in connection with
The heat exchange circuit 30 according to
As can be seen in
On the other hand, the inner wall 33 has a small thickness in relation to the amplitude of the corrugations such that the same corrugation pattern appears on both sides of the wall itself.
In this particular embodiment, the outer walls 32 and 34 are intended to prevent as far as possible heat exchange between the inside of the circuit and the surrounding environment. For this reason, the outer walls 32 and 34 have a large thickness and are preferably made of polymer material with a low thermal conductivity coefficient. On the other hand, the inner wall 33 is intended to facilitate as far as possible heat exchange between the two ducts 36′ and 36″. For this reason, the inner wall 33 has a small thickness and is preferably made of metallic material with a high thermal conductivity coefficient.
FIGS. 29.a and 29.b show schematically two wall portions, which are respectively thin and thick, with the same type of corrugation. FIGS. 29.b and 29.c show schematically wall portions, which are both thick, with different types of corrugation. In the description of the heat exchange circuits 30 reference has always been made to walls with a small thickness, with the sole exception of the outer walls 32 and 34 of the circuit shown in
According to the embodiment of
In the embodiment of
In the embodiments of the circuit 30 described above, the corrugations have a configuration which is substantially comparable to a sinusoid of given amplitude and wavelength. According to other embodiments, however, the progression may be of a different nature. Some configurations are shown by way of example in
As can be noted, all the configurations shown by way of example, including the configuration with a variable wave amplitude, define a plane of peaks (indicated by the line π in FIG. 28.f), at least on one side of the pattern. The presence of such a plane is highly advantageous for being able to define a support surface against another wall and for being able to define a circuit according to the invention.
As the person skilled in the art can understand, the various embodiments of the circuit and/or the thermal device according to the invention have been described purely by way of example. In other words the different possibilities described above in terms of materials, overall form, number of homogeneous areas within the corrugation patterns, corrugation configurations, presence of the vacuum application means, etc., can be differently combined with each other also in ways which are not specifically described. For example, it is possible, without departing from the scope of the present invention, to form a U-circuit with a plurality of homogeneous areas within the corrugation patterns, or a suction thermal device with a pattern which has a non-sinusoidal progression.
As the person skilled in the art can understand from the above description, the particular internal configuration of the circuit 30 according to the invention is able to achieve a high heat exchange efficiency. The arrangement of the corrugation patterns on top of each produces a network of channels which form a duct 36 in which the flow of liquid has a minimum thickness. The minimum thickness of the flow allows minimization of the thermal boundary layer effect, this effect resulting in large temperature differences between the layer of liquid directly in contact with the wall and the layers situated within the flow and at a distance from the wall. The thermal boundary layer effect thus results in the need, in low-efficiency circuits of known type, for high wall temperatures (70-80° C.) in order to compensate for the difficulty in supplying heat to the deep layers within the flow. As already mentioned in the introduction, these wall temperatures are inherently dangerous for the patient's health.
Furthermore, the particular configuration of the corrugation patterns and their arrangement on top of each other ensures intense mixing of the liquid which further limits the boundary layer effect. The liquid which is in direct contact with the wall along a duct section, because of the intense mixing, will almost certainly be situated at a distance from the wall along a subsequent duct section. In other words, the high degree of mixing or turbulence phenomena induced in the flow by the particular configuration of the channel network continuously mixes the liquid, preventing the possible formation of large temperature differences within it.
The significant reduction in the boundary layer effect results in a considerable increase in the heat exchange efficiency in the circuit according to the invention compared to known types of circuits. Because of the high heat exchange efficiency it is thus possible to keep the wall temperature within values which are highly acceptable in terms of the patient's safety (40-70° C., depending on the materials used).
Finally, as the person skilled in the art can understand from the above comments, the heat exchange circuit according to the invention is extremely economical from a manufacturing point of view, being particularly suitable for use as a disposable insert. As can be understood from the above description, many embodiments of the circuit 30 consist of two walls 32 and 34 which are identical to each other. In this respect production of the circuit 30 is greatly simplified since it is sufficient to perform pressing of a large of number of walls of a single type, with obvious advantages in logistics terms. This feature is highlighted in particular in
With regard to the embodiments of the circuit and the thermal device described above, the person skilled in the art may, in order to satisfy specific requirements, make modifications and/or replace elements described with equivalent elements, without thereby departing from the scope of the accompanying claims.
Number | Date | Country | Kind |
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TV2009A000156 | Aug 2009 | IT | national |
Filing Document | Filing Date | Country | Kind | 371c Date |
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PCT/IB10/53279 | 7/19/2010 | WO | 00 | 1/31/2012 |